NPI: 1710183645 · OSWEGO, IL
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 53 | $3K |
| 2022 | 136 | $5K |
| 2023 | 405 | $13K |
| 2024 | 804 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 789 | 789 | $28K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 403 | 403 | $10K |
| V2025 | Deluxe frame | 38 | 27 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 100 | 100 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 54 | 54 | $1K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 14 | 14 | $242.00 |